Tai Chi & Qigong Fall 2010 Class and Workshop Registration
Preregistration is helpful. Space can be limited.
Please print and mail this registration form with your check payable to
Embrace the Moon, 1716 NW Market, Seattle, WA 98107
We thank you for understanding that all fees, once paid, are non-refundable.
Name
Address
City, State Zip
Phone Print Clearly Email
Emergency Contact Name & Number
Please indicate the classes / workshops you are interested in attending:
 
Please indicate your health concerns:
 
 
What would you like to gain from your classes and workshops?
 
 
Session / Workshop and dates attending:


 
Fall session runs 14 weeks; for mid-term enrollment, contact Kim for pro-rated fee.
Those under 18 or over 70 take 20% off session prices; over 80, take 50% off.
New students may join any time at a pro-rated session fee.

"Find your Flow," Full Session or Montly Registration
$25 Find Your Flow (2wks unlimited, new students)
1x/week $275 - or - $105 (x3)
2x/week $375 - or - $135 (x3)
Unlimited $425 - or - $155 (x3)
Flex card: 10 for $220 (16 class week expiration)
Drop In: $25

 
Workshop (see workshop & please specify details such as day & section)


 
Total Enclosed:
(cash or check only)
How did you hear about Embrace the Moon?
Would you like to be added to our confidential email notice for future workshops and classes?
We never sell or share our list. ___ yes ___ no

Return to Embrace the Moon Registration